72 NEUROMUSCULOSKELETAL EXAMINATION AND ASSESSMENT
Coracobrachialis
MUSCULOCUTANEOUS NERVE
Biceps
Brachialis
Figure 3.23 The musculocutaneous (A), axillary and radial (B) nerves of the upper
limb and the muscles that each supplies. (From Medical Research Council 1976, with
permission.)PHYSICAL EXAMINATION 73
AXILLARY NERVE
Dettoia
eres minor
Triceps, long head
Triceps, lateral head Triceps, medial head
—— RAvIAL NERVE
Brechioracialis —
Extensor carpi radials longus
Extensor carp radials brevis
Supinator — POSTERIOR INTEROSSEQUS NERVE
Extensor carpi ulnaris ————|
Extensor aigitorum
Extensor digit minim
Abductor pollicis tongue
Extensor policis longus
Extensor pollicis brevis
Extensor indicis
Figure 3.23 (cont)
ic tests (Ghacklock 1995). Some of these tests have developed _by several therapists (Elvey 1985,
been used by the medical profession for over 100 Maitland 1986, Butler 1991). A summary of the
years (Dyck 1984), but they have been more fully _ tests is given here, but further details of the theo-74 NEUROMUSCULOSKELETAL EXAMINATION AND ASSESSMENT
MEDIAN NERVE
Pronator teres
Flexor carpi radials
Palmaris longus
Flexor digitorum supertcialis ANTERIOR INTEROSSEOUS NEAVE
Flexor digitorum profundus &
Flexor policis longus
Pronator quadratus
‘Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis
tet lumbrical 2nd lumbrical
Figure 3.24 Diagram of the median (A) and ulnar (B) nerves of the upper limb and
the muscies that each supplies. (From Medical Research Council 1976, with
permission.)
retical aspects of these tests and how the tests are cian can also palpate the nerve with and without
performed can be found in Butler (1991). In addi- the nerve under tension; details are given later in
tion to the length tests described below, the clini- the section on palpation.